Individual provider Active NPI

Brittney Danielle Mork

  • Family Nurse Practitioner
  • Conyers, GA
National Provider Identifier
1245978535
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN273093 Issued in GA
Practice address
2213A Exchange PL SE
Conyers, GA 30013-6723
Phone
(770) 483-4431
Fax
(770) 760-7200
NPI assigned
May 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN273093 GA Primary

Addresses

Primary practice location

2213A Exchange PL SE
Conyers, GA 30013-6723

Mailing address

2213A Exchange PL SE
Conyers, GA 30013-6723
Phone (770) 483-4431

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address BRITTNEY@PEDIATRICHCENTER.COM Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251113002891 GA Practitioner - Nurse Practitioner 0345731758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians

Practice addresses (Care Compare)

2292 Peachtree Rd
Atlanta, GA 30309-1147
Phone (404) 382-9941

2410 Ingleside Ave
Macon, GA 31204-2036
Phone (678) 695-6960

340 Exchange Blvd
Bethlehem, GA 30620-1759
Phone (706) 413-4500

4763 Atlanta Hwy
Suite 420
Loganville, GA 30052-6788
Phone (404) 395-6793

850 Pavillion Pkwy
Monroe, GA 30656-5012
Phone (678) 395-0010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN273093GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstreet of Georgia PC CurrentSince Oct 30, 2025 Accepting new patients
Pediatric Health Center of Conyers, PC PastSince May 29, 2022 Accepting new patients
Pediatric Health Care of Conyers PastSince May 29, 2022 Accepting new patients

Locations

2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941

Interoperability endpoints

  • Direct secure messaging: brittney@pediatrichcenter.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1245978535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213A EXCHANGE PL SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300136723",
            "telephone_number": "770-483-4431",
            "fax_number": "770-760-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213A EXCHANGE PL SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300136723",
            "telephone_number": "770-483-4431",
            "fax_number": "770-760-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORK",
        "first_name": "BRITTNEY",
        "middle_name": "DANIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-25",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN273093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BRITTNEY@PEDIATRICHCENTER.COM",
            "affiliation": "N",
            "endpointDescription": "Pediatric Health Care of Conyers",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2213A Exchange Pl SE",
            "city": "Conyers",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300136723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

Verify at the official NPI Registry.